Repair return form

This field is for validation purposes and should be left unchanged.

Return Authorization Number(Required)

Contact support@cpen.com for details. Unauthorized returns will NOT be processed.

Organisation/School/Company

Name(Required)

First Last

Email(Required)

Phone number

Required in case of courier return.

Return address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

C-Pen model(Required)

Click the field to select the C-Pen model the return applies to.

This field is hidden when viewing the form

Serial number

Applies to ExamReader, ReaderPen, ReaderPen Secure, Connect.

Serial number(s)

In case of return of multiple devices, click the + sign on the right side of the input field and add one serial number per each row..

Reason for return(Required)

Details of products returned(Required)

Total quantity per model. Serial numbers (if applicable). Purchase date (upload receipt prior to submitting this form.

Proof of purchase

I do not have any receipt or invoice to prove date of purchase

Tick this box if you have no receipt, invoice or other evidence to prove date of purchase.

Receipt or invoice(Required)

NOTE: Receipt or invoice showing purchase of your C-Pen device is required for your return to clear custom without applying any import fees (pdf and jpg accepted)

Accepted file types: pdf, jpg, jpeg, Max. file size: 2 MB.

Return date (YYYY MM DD)

Input return date in format year, month, day.

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Repair return form

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